The Wayside House, INC
NPI #1235223652 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1235223652
- Entity Type
- Organization
- Organization Name
- The Wayside House, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Nov 12, 2025
Practice Location
- Address
- 3705 PARK CENTER BLVD
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2504
- Phone
- (952) 926-5626
Authorized Official
- Name
- JENNIFER WILSON
- Title
- BILLING MANAGER
- Phone
- (952) 405-7649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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